Abstract

The innate immunity has evolved during millions of years, and thus, equivalent or comparable components are found in most vertebrates, invertebrates, and even plants. It constitutes the first line of defense against molecules, which are either pathogen-derived or a danger signal themselves, and not seldom both. These molecular patterns are comprised of highly conserved structures, a common trait in innate immunity, and constitute very potent triggers for inflammation mediated via extracellular or intracellular pattern recognition receptors. Human culture is often interweaved with the consumption of alcohol, in both drinking habits, its acute or chronical misuse. Apart from behavioral effects as often observed in intoxicated individuals, alcohol consumption also leads to immunological modulation on the humoral and cellular levels. In the last 20 years, major advances in this field of research have been made in clinical studies, as well as in vitro and in vivo research. As every physician will experience intoxicated patients, it is important to be aware of the changes that this cohort undergoes. This review will provide a summary of the current knowledge on the influence of alcohol consumption on certain factors of innate immunity after a hit, followed by the current studies that display the effect of alcohol with a description of the model, the mode of alcohol administration, as well as its dose. This will provide a way for the reader to evaluate the findings presented.

Highlights

  • Alcohol, as one of the most used drugs worldwide, has played a pivotal role in social events and culture since the beginning of civilization, namely because of its side-effects on the human body

  • It is clear that chronic alcohol ingestion constitutes a permanent stress to the organism, with exacerbated organ response through the gut–liver–lung pro-inflammatory reactions

  • Newer studies uncover the role of an inflammatory “switch” upon acute alcohol use, as briefly noted in this review, the impact of acute alcohol ingestion on innate and on adaptive immunity is poorly studied

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Summary

Introduction

As one of the most used drugs worldwide, has played a pivotal role in social events and culture since the beginning of civilization, namely because of its side-effects on the human body. The global status report on alcohol and health 2014 by the World Health Organization stated that over 3.3 million deaths worldwide were attributed to causes associated with alcohol consumption. While these deaths are mostly impeded by chronic intake, almost a third of all trauma-related deaths are caused by alcohol consumption [1]. The incidence of cardiovascular diseases has been the lowest for males who drank small amounts of alcohol, whereas non-drinkers showed higher incidence rates [6] This illustrates how diverse the effects of alcohol on the human body are. The bilateral effects or hormesis of certain effects of alcohol on the innate immunity will be displayed in this review

Experimental Section
Innate Immunity Factors—Preserved through Time
NF-κB—Key to Inflammation
Pathogen-Associated and Sterile Inflammation
Cytokines
Cellular Responses—Phagocytosis and Oxidative Burst
Cellular Responses—Leukocyte Recruitment and Extravasation
Structural Responses
Limitations
Findings
Conclusions
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